Individual
RAVISH V PATWARDHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8001 YOUREE DR, SUITE 550, SHREVEPORT, LA 71115-2302
(318) 797-5543
Mailing address
PO BOX 1768, SHREVEPORT, LA 71166-1768
(318) 222-8367
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
14643R
LA
Other
Enumeration date
05/23/2006
Last updated
02/17/2010
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